I work in a third party office that puts medical records on microfilm. There is barely ever any person that does not work there, that comes into the office. Every person in this office sees most all medical records. My question is if a person discusses say a patients name within the office, is it considered a breach of confidentiality.

The new privacy laws are very complex. You may want to contact the local labor board to speak about this issue. They should be able to steer you in the right direction.